Individual
DR. RAFAEL AYMAR VILELLA LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4637 CALLE LUNA APT 321, PONCE, PR 00717-2047
(939) 428-4759
Mailing address
4637 CALLE LUNA APT 321, PONCE, PR 00717-2047
(939) 428-4759
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001098-P.A.
PR
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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